Provider Demographics
NPI:1346861101
Name:SBT HEALTH INC
Entity Type:Organization
Organization Name:SBT HEALTH INC
Other - Org Name:SOLUTION BASED TREATMENT AND DETOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-813-2597
Mailing Address - Street 1:25819 JEFFERSON AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6965
Mailing Address - Country:US
Mailing Address - Phone:951-813-2597
Mailing Address - Fax:
Practice Address - Street 1:30780 OLYMPIA ROSE DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7992
Practice Address - Country:US
Practice Address - Phone:951-813-2597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SBT HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-04
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility